| NPI | 1700231040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ AZ008008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 177209) |
| 207R00000X Internal Medicine (Licence: AZ AZ008008) | |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2019-08-08 |